Status:

RECRUITING

Community Health Workers in an Interdisciplinary Outpatient CKD Clinic to Optimize Social Care Navigation, Patient Engagement, and Home Dialysis Utilization

Lead Sponsor:

Montefiore Medical Center

Collaborating Sponsors:

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

New York University

Conditions:

Kidney Replacement Therapy

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

The goal of this clinical trial is to learn if this intervention (the CHOOSE Home intervention) is feasible and may lead to more home dialysis usage in a high-risk patient population. The main questio...

Detailed Description

The overarching aims of the study are to 1) utilize a community- engaged approach with input from diverse community partners to refine the CHOOSE Home Trial; and 2) evaluate the feasibility, acceptabi...

Eligibility Criteria

Inclusion Criteria:

  • Age ≥ 18 years
  • Advanced CKD (defined by estimated glomerular filtration rate (eGFR) of 25 ml/min/1.73m2 or less using the 2021 Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation)
  • English or Spanish speaking
  • Provide informed consent
  • Followed by a nephrologist at Montefiore and seen within last 12 months
  • Willing to receive interdisciplinary care (i.e., nurse practitioner facilitated CKD education and care coordination)

Exclusion Criteria:

  • Active malignancy
  • Anticipated survival is less than 1 year as determined by the patient's treating nephrologist
  • Opting to do medical management only (non- dialysis supportive care) for management of their kidney failure
  • Plan to relocate outside of New York City within the next 12 months

Key Trial Info

Start Date :

December 12 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

May 1 2028

Estimated Enrollment :

106 Patients enrolled

Trial Details

Trial ID

NCT06925776

Start Date

December 12 2025

End Date

May 1 2028

Last Update

April 15 2026

Active Locations (1)

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Page 1 of 1 (1 locations)

1

Albert Einstein College of Medicine

The Bronx, New York, United States, 10461

Community Health Workers in an Interdisciplinary Outpatient CKD Clinic to Optimize Social Care Navigation, Patient Engagement, and Home Dialysis Utilization | DecenTrialz